Primary Care Providers’ Perceived Barriers to Referring Patients to Registered Dietitian Nutritionists for Weight Loss Counseling in West Virginia

2015 ◽  
Vol 115 (9) ◽  
pp. A32 ◽  
Author(s):  
B. Abruzzino ◽  
M. Ventura Marra
Keyword(s):  
Primary Care ◽  
Weight Loss ◽  
West Virginia ◽  
Primary Care Providers ◽  
Perceived Barriers ◽  
Care Providers ◽  
Registered Dietitian ◽  
Registered Dietitian Nutritionists

scholarly journals A web-based intervention to increase weight loss treatment initiation: results of a cluster randomized feasibility and acceptability trial

2019 ◽  
Author(s):  
Megan A McVay ◽  
William S Yancy ◽  
Gary G Bennett ◽  
Erica Levine ◽  
Seung-Hye Jung ◽  
...  
Keyword(s):  
Primary Care ◽  
Weight Loss ◽  
Treatment Initiation ◽  
Primary Care Providers ◽  
Feasibility Trial ◽  
Care Providers ◽  
Behavioral Weight Loss ◽  
Weight Loss Treatment ◽  
Primary Care Patients ◽  
Cluster Randomized

Abstract Evidence-based behavioral weight loss treatment is under-utilized. To increase initiation of treatment, we developed a single-session, online, primary care-based intervention (“mobilization tool”). We evaluated the mobilization tool's acceptability for primary care patients with obesity, trial design feasibility, and signal of an effect of the tool on treatment initiation. In this cluster randomized feasibility trial, primary care providers (PCPs) were randomized to a mobilization tool or comparator tool arm. Patients with obesity and a scheduled appointment with a randomized PCP were assigned to complete the mobilization or comparator tool prior to their appointment. The online mobilization tool asks patients to answer questions about a variety of weight-related topics and then provides automated, tailored feedback that addresses psychosocial determinants of weight loss treatment initiation. The comparator tool provided a nontailored description of treatments. All participants were offered free enrollment in behavioral weight loss treatments. Six PCPs were randomized. Sixty patients (57% female; 66% white; aged 55 ± 13 years) participated in this study of 296 contacted for eligibility evaluation (20.2%). Six-month follow-up assessments were completed by 65% (22/34) of the mobilization and 73% (19/26) of comparator tool participants. Participants completing the acceptability survey reported that the mobilization tool was usable, enjoyable, informative, and useful. Weight loss treatment was initiated by 59% (n = 19) of mobilization and 33% (n = 8) of comparator tool participants. The mobilization tool shows promise for increasing treatment initiation among primary care patients, which may increase population weight loss. Trial Registration: Clinicaltrials.gov identifier: NCT02708121.

scholarly journals Primary Care Providers’ Perspectives on Online Weight-Loss Programs: A Big Wish List

2012 ◽  
Vol 14 (1) ◽  
pp. e16 ◽  
Author(s):  
Kevin O Hwang ◽  
Heather L Stuckey ◽  
Monica C Chen ◽  
Jennifer L Kraschnewski ◽  
Samuel N Forjuoh ◽  
...  
Keyword(s):  
Primary Care ◽  
Weight Loss ◽  
Primary Care Providers ◽  
Care Providers ◽  
Weight Loss Programs

scholarly journals Attitudes and perceived barriers to firearm safety anticipatory guidance by pediatricians: a statewide perspective

2021 ◽  
Vol 8 (S1) ◽  
Author(s):  
Bijan Ketabchi ◽  
Michael A. Gittelman ◽  
Hayley Southworth ◽  
Melissa Wervey Arnold ◽  
Sarah A. Denny ◽  
...  
Keyword(s):  
Primary Care ◽  
Care Provider ◽  
Care Setting ◽  
Primary Care Setting ◽  
Primary Care Providers ◽  
Perceived Barriers ◽  
Pediatric Primary Care ◽  
Care Providers ◽  
Safety Education ◽  
Firearm Safety

Abstract Background Firearms are the second leading cause of injury-related death in American children. Safe storage of firearms is associated with a significantly decreased odds of firearm-related death, however more than half of US firearm owners store at least one firearm unlocked or accessible to a minor. While guidance by primary care providers has been shown to improve storage practices, firearm safety counseling occurs infrequently in the primary care setting. The primary objective of this study was to describe pediatricians’ perceived barriers to providing firearm safety education to families in the pediatric primary care setting. Secondary objectives included identifying pediatric provider attitudes and current practices around firearm counseling. Methods This was a cross-sectional survey of pediatric primary care providers in Ohio. Participants were recruited from the Ohio AAP email list over a 3-month period. Only pediatric primary care providers in Ohio were included; subspecialists, residents and non-practicing physicians were excluded. Participants completed an anonymous online survey detailing practice patterns around and barriers to providing firearm safety counseling. Three follow-up emails were sent to pediatricians that failed to initially respond. Response frequencies were calculated using Microsoft Excel. Results Two hundred eighty-nine pediatricians completed the survey and 149 met inclusion criteria for analysis. One hundred seven (72%) respondents agreed that it is the responsibility of the pediatric primary care provider to discuss safe storage. Counseling, however, occurred infrequently with 119 (80%) of respondents performing firearm safety education at fewer than half of well child visits. The most commonly cited barriers to providing counseling were lack of time during office visits, lack of education and few resources to provide to families. A majority, 82 of pediatric providers (55%), agreed they would counsel more if given additional training, with 110 (74%) conveying they would distribute firearm safety devices to families if these were available in their practice. Conclusion Ohio pediatricians agree that it is the responsibility of the primary care provider to discuss firearm safety. However, counseling occurs infrequently in the primary care setting due to a lack of time, provider education and available resources. Improving access to resources for primary care pediatricians will be critical in helping educate families in order to protect their children through improved storage practices.

scholarly journals Attitudes and perceived barriers toward store-and-forward teledermatology among primary care providers of the rural Mississippi

2021 ◽  
Author(s):  
Summer Morrissette ◽  
Ross L. Pearlman ◽  
Margaret Kovar ◽  
William T. Sisson ◽  
Robert T. Brodell ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Providers ◽  
Perceived Barriers ◽  
Care Providers ◽  
Store And Forward

scholarly journals Survey of Perceptions and Educational Needs of Primary Care Providers Regarding Management of Patients with Class II and III Obesity in Ontario, Canada

2020 ◽  
Author(s):  
Boris Zevin ◽  
Mary Imelda Martin ◽  
Nancy Dalgarno ◽  
Linda Chan ◽  
Nardhana Sivapalan ◽  
...  
Keyword(s):  
Primary Care ◽  
Weight Loss ◽  
Primary Care Providers ◽  
Class Ii ◽  
Care Providers ◽  
Long Term Follow Up ◽  
Additional Education ◽  
Weight Loss Interventions

Abstract Background: Primary care providers (PCPs) are typically the primary contact for patients with obesity seeking medical and surgical weight loss interventions; however, previous studies suggest that fewer than 7% of eligible adult patients are referred to publically funded medical and surgical weight loss interventions (MSWLI).Methods: We performed an anonymous survey study between October 2017 and June 2018 to explore the knowledge, experiences, perceptions, and educational needs of PCPs in Southeastern Ontario in managing patients with class II and III obesity. Results: Surveys were distributed to 591 PCPs (n=538 family physicians; n=53 nurse practitioners) identified as practicing in the Southeastern Ontario and 103 (17.4%) participated. PCPs serving a rural population estimated that 14.2±10.9% of patients would qualify for MSWLI compared to 9.9±8.5% of patients of PCPs serving an urban population (p=.049). Overall, 57.5% of respondents did not feel competent prescribing MSWLI to patients with class II/III obesity, while 69.8% stated they had ‘good’ knowledge of the referral criteria for MSWLI. 22.2% of respondents were hesitant to refer patients for bariatric surgery (BS) due to concerns about postoperative surgical complications and risks associated with surgery. Only 25% of respondents were comfortable providing long-term follow up after BS, and only 39.1% had participated in continuing education on management of patients with class II/III obesity in the past five years. Conclusion: The majority of PCPs believe there is a need for additional education about MSWLI for patients with class II/III obesity. Future studies are needed to develop and compare the effectiveness of additional education and professional development around risks of contemporary BS, indications to consider referral for MSWLI, management and long-term follow-up of patients after BS.

scholarly journals Survey of perceptions and educational needs of primary care providers regarding management of patients with class II and III obesity in Ontario, Canada

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Boris Zevin ◽  
Mary Martin ◽  
Nancy Dalgarno ◽  
Linda Chan ◽  
Nardhana Sivapalan ◽  
...  
Keyword(s):  
Primary Care ◽  
Weight Loss ◽  
Primary Care Providers ◽  
Class Ii ◽  
Care Providers ◽  
Long Term Follow Up ◽  
Additional Education ◽  
Weight Loss Interventions

Abstract Background Primary care providers (PCPs) are typically the primary contact for patients with obesity seeking medical and surgical weight loss interventions; however, previous studies suggest that fewer than 7% of eligible adult patients are referred to publically funded medical and surgical weight loss interventions (MSWLI). Methods We performed an anonymous survey study between October 2017 and June 2018 to explore the knowledge, experiences, perceptions, and educational needs of PCPs in Southeastern Ontario in managing patients with class II and III obesity. Results Surveys were distributed to 591 PCPs (n = 538 family physicians; n = 53 nurse practitioners) identified as practicing in the Southeastern Ontario and 92 (15.6%) participated. PCPs serving a rural population estimated that 14.2 ± 10.9% of patients would qualify for MSWLI compared to 9.9 ± 8.5% of patients of PCPs serving an urban population (p = .049). Overall, 57.5% of respondents did not feel competent prescribing MSWLI to patients with class II/III obesity, while 69.8% stated they had ‘good’ knowledge of the referral criteria for MSWLI. 22.2% of respondents were hesitant to refer patients for bariatric surgery (BS) due to concerns about postoperative surgical complications and risks associated with surgery. Only 25% of respondents were comfortable providing long-term follow up after BS, and only 39.1% had participated in continuing education on management of patients with class II/III obesity in the past 5 years. Conclusion The majority of PCPs believe there is a need for additional education about MSWLI for patients with class II/III obesity. Future studies are needed to develop and compare the effectiveness of additional education and professional development around risks of contemporary BS, indications to consider referral for MSWLI, management and long-term follow-up of patients after BS.

Primary Care Providers' Perceived Barriers and Needs for Support in Caring for Children with Autism

2020 ◽  
Vol 221 ◽  
pp. 240-245.e1
Author(s):  
Micah O. Mazurek ◽  
Christina Harkins ◽  
Michelle Menezes ◽  
James Chan ◽  
Robert A. Parker ◽  
...  
Keyword(s):  
Primary Care ◽  
Children With Autism ◽  
Primary Care Providers ◽  
Perceived Barriers ◽  
Care Providers

scholarly journals Attitudes and Perceived Barriers to Firearm Safety Anticipatory Guidance by Pediatricians: A Statewide Perspective

2021 ◽  
Author(s):  
Bijan Ketabchi ◽  
Michael A. Gittelman ◽  
Hayley Southworth ◽  
Melissa Wervey Arnold ◽  
Sarah A. Denny ◽  
...  
Keyword(s):  
Primary Care ◽  
Care Provider ◽  
Care Setting ◽  
Primary Care Setting ◽  
Primary Care Providers ◽  
Perceived Barriers ◽  
Pediatric Primary Care ◽  
Care Providers ◽  
Safety Education ◽  
Firearm Safety

Abstract Background: Firearms are the second leading cause of injury-related death in American children. Safe storage of firearms is associated with a significantly decreased odds of firearm-related death, however more than half of US firearm owners store at least one firearm unlocked or accessible to a minor. While guidance by primary care providers has been shown to improve storage practices, firearm safety counseling occurs infrequently in the primary care setting. The primary objective of this study was to describe pediatricians’ perceived barriers to providing firearm safety education to families in the pediatric primary care setting. Secondary objectives included identifying pediatric provider attitudes and current practices around firearm counseling. Methods: This was a cross-sectional survey of pediatric primary care providers in Ohio. Participants were recruited from the Ohio AAP email list over a 3-month period. Only pediatric primary care providers in Ohio were included; subspecialists, residents and non-practicing physicians were excluded. Participants completed an anonymous online survey detailing practice patterns around and barriers to providing firearm safety counseling. Three follow-up emails were sent to pediatricians that failed to initially respond. Response frequencies were calculated using Microsoft Excel. Results: Two hundred eighty-nine pediatricians completed the survey and 149 met inclusion criteria for analysis. One hundred seven (72%) respondents agreed that it is the responsibility of the pediatric primary care provider to discuss safe storage. Counseling, however, occurred infrequently with 119 (80%) of respondents performing firearm safety education at fewer than half of well child visits. The most commonly cited barriers to providing counseling were lack of time during office visits, lack of education and few resources to provide to families. A majority, 82 of pediatric providers (55%), agreed they would counsel more if given additional training, with 110 (74%) conveying they would distribute firearm safety devices to families if these were available in their practice. Conclusion: Ohio pediatricians agree that it is the responsibility of the primary care provider to discuss firearm safety. However, counseling occurs infrequently in the primary care setting due to a lack of time, provider education and available resources. Improving access to resources for primary care pediatricians will be critical in helping educate families in order to protect their children through improved storage practices.

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